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- Michael B. Gottschalk
- Emory University Hospital, Grady Hospital and Atlanta VA Hospital, Atlanta, Georgia
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- Nick N. Patel
- Emory University School of Medicine, Atlanta, Georgia
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- Allison L. Boden
- Emory University School of Medicine, Atlanta, Georgia
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- Sanjeev Kakar
- Mayo Clinic College of Medicine, Rochester, Minnesota
書誌事項
- タイトル別名
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- A Critical Analysis Review
説明
<jats:p> <jats:list list-type="plain"><jats:list-item><jats:p>* The thumb carpometacarpal joint is one of the most common locations for degenerative osteoarthritis in the hand.</jats:p></jats:list-item><jats:list-item><jats:p>* Conservative therapies include hand therapy, nonsteroidal anti-inflammatory drugs, splinting, activity modification, and corticosteroid injections.</jats:p></jats:list-item><jats:list-item><jats:p>* Surgical treatment is divided into trapezium-preserving procedures in addition to trapezium-sacrificing procedures. Trapezium-preserving procedures, which should be performed when the scaphotrapeziotrapezoidal joint is free of disease, include joint arthroscopy and its associated procedures, carpometacarpal arthrodesis, and implant arthroplasty. When pantrapezial disease is noted, a trapezium-sacrificing technique such as trapeziectomy with ligament reconstruction and tendon interposition should be used. In cases in which the scaphotrapeziotrapezoidal joint is involved, a resection of the most proximal aspect of the trapezoid is beneficial.</jats:p></jats:list-item></jats:list> </jats:p>
収録刊行物
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- JBJS Reviews
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JBJS Reviews 6 (7), e4-e4, 2018-07
Ovid Technologies (Wolters Kluwer Health)
